Violation Details: 00463676-AP-415980

Records Request Print
Date
3/13/2026
Report number
00463676-AP-415980
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(a)(b)(f)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(H)
Findings
On or about March 16, 2026, Alleged Perpetrator #2 (AP2), advised the Alleged Victim (AV) it was time for bed. When AV refused, AP2 enlisted subordinate staff members to put AV to bed. When staff refused, AP2 wheeled AV into AV's bedroom and began changing AV into their pajamas for bed. AV became physically combative, kicking, biting and screaming to resist, and in the process, cut his/her finger open on AP2's key chain lanyard. AV was transported to the hospital where he/she received stitches. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The Respondent failed to ensure facility staff treated residents with respect and honored their rights, which is a violation of Oregon Administrative Rules.